High Desert Tea Parties LLC

Request Form



High Desert Tea Parties LLC, 204 West Sunset Road, Huachuca City ,AZ 85616 Phone

520-452-7933

Forms can be mailed at the above address or emailed to: dawncussins@gmail.com

Contact information

1. Contact/Guardian._____________________________

2.Email_______________________________________

3.Phone/Cell phone______________________________

4. Location if different than billing address______________________________________________

Theme and details


1. Type of theme___________________________

2.Date and time Requested ____________________             

3.Guest of Honor ____________________________

4. Child's age ________________

5. Est.# of Guests_____________

A deposit is required to confirm your date and time. Once deposit is received, a confirmation will be mailed or emailed to you. Deposit amounts : $50.00 for all parties 


FOP (Circle one)

Visa, Master card, American Express, discover or Check

1. Card Number ______________________________

2. Expiration date____________________________

3. Security Code __________

4.Name as it appears on card________________________

5. Billing Address________________________________________________

6. Signature___________________________________________________